Whalio Doctors

NPI 1760536510

Thomas E Staats, PHD

Practitioner Clinical Neuropsychologist Shreveport, LA

Practice location

Address
2924 Knight St, Bldg 3 Suite 357, Shreveport, LA 71105
Phone
(318) 861-0194
Fax
(318) 861-0284
Mailing address
422 Town South Dr, Shreveport, LA 71115-2929

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 254 (LA)
Counseling Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 254 (LA)

Registry record

NPI
1760536510
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jan 2007
Record last updated
18 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.